Provider Demographics
NPI:1164546370
Name:HAMILTON, JULIE M (LMHC)
Entity Type:Individual
Prefix:
First Name:JULIE
Middle Name:M
Last Name:HAMILTON
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:JULIE
Other - Middle Name:M
Other - Last Name:TOMPKINS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMHC
Mailing Address - Street 1:9270 BAY PLAZA BLVD
Mailing Address - Street 2:SUITE 614
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33619-4499
Mailing Address - Country:US
Mailing Address - Phone:813-944-2268
Mailing Address - Fax:813-944-2269
Practice Address - Street 1:9270 BAY PLAZA BLVD
Practice Address - Street 2:SUITE 614
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33619-4499
Practice Address - Country:US
Practice Address - Phone:813-944-2268
Practice Address - Fax:813-944-2269
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-16
Last Update Date:2008-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH8029101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health